Combined dilating and massaging device



April 11, 1939. T. R. HAYTON COMBINED DILATING AND MASSAGING DEVICEFiled July 15, 1955 INWE'NTOE- 77/0/4145 Rl/AYTOM Hrrona/Er PatentedApr. 11, 1939 UNITED STATES PATENT OFFICE GOIWBINED DILATING ANDMASSAGING DEVICE 5 Claims.

This invention relates to a novel instrument for use in dilating andmassaging organs of the human body and is intended for use, moreparticularly, in the treatment of the prostate gland.

The general object of the invention is to provide a device which willenable the operator to insert the instrmnent into the canal or orificeto be dilated, to massage the same and where necessary, to introduce alubricant or suitable medicament to the part treated.

The general advantages to be attained by the use of my invention are toenable the dilation and massaging of the gland, or other part, to beeffected with the minimum of pain or discomfort to the patient; tosecure accuracy in the depth to which the instrument is inserted and toprovide a device of such simple and unique construction that it may beinserted and manipulated with certainty, ease and facility and asstated, with the least possible discomfort to the patient.

With the above objects in view the invention consists, in one form, of asingle round rod having a combined depth gauge and hand hold adjustablymounted thereon, the rod being of a suitable size for insertion in theorgan, the gauge being adjustable to determine and limit the depth ofinsertion, and the hand hold affording a firm. grasp for the operator toenable him to readily insert the rod in the organ and thereafter tomanipulate the rod andv massage the gland or other part without, in thecase of the treatment of the prostate, having to exert pressure on. theurethra.

In another form of the invention the rod is snugly fitted into an outercircular casing having an aperture in its outer end, and which itselfacts as the dilator, the rod in this case serving as a piston to enablelubricant or medicament to be forced through the aperture in the end ofthe outer sheath or casing for application to the gland, organ, or canalbeing dilated or treated.

The invention is illustrated in the accompanying drawing, in which:

Figure 1 is a plan view of the invention em.- ploying the single rodconstruction;

Figure 2 is a longitudinal sectional view thereof;

Figure 3 is an end View; and

Figure 4 is a longitudinal sectional view illustrating a modifiedconstruction in which the dilator is in the form of a sheath orcylindrical casing and a rod or plunger is snugly fitted therein.

Referring now to the drawing, the numeral I indicates a round rod ofhighly polished steel perfectly straight and provided with a rounded end2. This rod may be of any desired length and diameter, but a standardsize would be a rod approximately 10 inches long and approximately ofan. inch in diameter. It will be understood.

of course, that the rod or dilator may be made in different sizes, sothat a smaller size could be used for initial treatment and a largersize or sizes thereafter employed. Adjustably mounted on the rod I is acombined depth gauge and hand hold 3, which is preferably about 3 inchesin length and 1% inches in internal diameter. This hand hold isinflexible or rigid, and will usually be constructed of metal or hardrubber. The combined hand hold and depth gauge is hollow or cylindricaland at its rear end is provided with a hub 4, which snugly embraces therod. This hub is formed tapering and is exteriorly screw-threaded asindicated at 5. To enable the hand hold to be clamped on the rod the hub4 is provided with cross slots 6, in its outer end, extending to withinabout A; of an inch of its base and a nut l, is mounted on the hub,which when turned toward the hand hold will serve to clamp the slottedpart of the hub on the rod.

It is within the purview of the invention, however, to omit the nut andsimply have such a snug fit between the bore of the hub and the rod Ithat the combined hand hold and depth gauge will have little or notendency to move on the rod after the required amount of force has beenexerted to move it to an adjusted position thereon.

In the use of this form of the invention a suitable lubricant will firstbe inserted in. the organ and the rod I itself also lubricated, afterwhich it is carefully inserted in the organ, to extend through the neckof the bladder, the organ extending into the interior of the hand hold,the bottom of which limits the extent to which the rod can be inserted.The depth of the insertion can be regulated by changing the position ofthe hand hold on the rod I, either by moving the same thereon againstfrictional resistance, or, if the binding nut I is used, by firstloosening the binding nut and adjusting the hand hold to a desiredposition on the rod and. then turning the nut to clamp the hub againstmovement from such position.

After the rod has. been inserted to the desired depth the operatorgrasps the hand hold 2 and manipulates the rod, either to simply draw itback and forth, as might be the case in the initial stages of treatment,or to impart a circular movement to the end of the rod extending throughthe gland tomassage the same. The hand hold enables this massagingoperation to be performed without the necessity of the operator holdingthe organ, and thereby exerting pressure on the urethra, which in manycases produces great pain and discomfort to the patient.

In, the device illustrated in Figure 4, I employ an outer tubular casing8, having a rounded end fl, provided with an aperture ill. The inner endof this casing is provided with a knurled nut H,

by means of which the casing 8 may be turned. Mounted within the casing8 is a solid rod l2, which fits snugly in. the casing so that whenlubricated it practically forms an air tight connection with the innerwall of the casing 8. At its outer end the rod 12 is provided with aring I3, to receive the thumb or finger of the hand of the operator, andin this way both the outer casing B and the rod I2 may be manipulatedwith one hand. That is to say, the operator can. readily turn the nut IIand also move the rod inward in the casing 8, which operation is used toinject a lubricant or medicament within the casing through the openingID in its end, so that it may be applied to the part or the or-- genbeing treated.

The combined hand hold and depth gauge may be applied to this two-pieceform of the device by being secured on the casing 8 in the same way asit is secured on the rod I, as previously described. If this hand holdand depth gauge is not employed, the device illustrated in Figure 4 isinserted in the organ in the ordinary way, and to manipulate the devicefor massaging the pros tate, the operator will grasp the organ at itsbase between the thumb and forefinger to provide a pivot and the outerend of the device is then given a circular motion, which causes itsinner end to have a corresponding motion and thus progressively dilatethe Wall of the prostate. As stated, however, it is usually desirable toavoid exerting pressure about the urethra and so I prefer to employ thehand hold with the two-piece device as well as with the single rodconstruction first described.

It will be understood that with the two-piece device illustrated inFigure 4, the casing 8 will be of the same diameter as the rod 1 for agiven type of treatment and that it acts as the dilating and massagingelement. In addition, this construction of device enables lubricant ormedicament to be applied with facility to the gland, and, if necessary,along the interior walls of the urethra by the instrument,simultaneously either with the insertion or withdrawal of the devicefrom the organ being treated.

My invention differs from instruments ordinarily used for insertion inthe male organ for the treatment of the prostate in that it is perfectlystraight, a device which is curved being unsuited to my purpose, as itis practically unusable for the gentle massaging of the prostate. Bysuch treatment, I seek to remove the cause of the trouble and allownature to reestablish normal circulation and nerve action and renewmuscular control so as to restore normal functioning of the gland.Massaging of the prostate gland is a recognized method of treatment forprostatic trouble; but, so far as I am aware, this is almost uniformlydone manually by way of the rectum. Such treatment, While to some extentbeneficial, does not reach the real seat of the trouble, in that it doesnot effect dilation of the gland and massaging of the same at theprecise point where restoration of circulation, nerve action andmuscular control are most needed.

The massaging of the prostate can be started initially in the mostgentle manner, as, in the use of the round rod of Figure 1, by moving itgently back and forth and rotating it on its axis; or, in the use of thedevice of Figure 2, by using the same movements; in this case, however,the casing 8 being conveniently rotated between the thumb and finger ofthe hand applied to the nut or ring H.

While I have described my invention as particularly applicable for usein the treatment of the prostate gland, it will be obvious to thoseskilled in the art that both forms of my invention are capable of use inother connections, such as in rectal and vaginal treatments, and thelike.

I claim:

1. A combined dilating and massaging device of the class describedcomprising a central, straight, round, smooth and inflexible memberhaving a rounded end and of a length and size permitting it to beinserted through the urethra and into the neck of the bladder, and arigid circular hand hold adjustably mounted thereon to concentricallysurround the same and of a size to comfortably receive the male organwhen said smooth member is inserted therein.

2. A combined dilating and massaging device of the class describedcomprising a straight, smooth cylindrical and inflexible member having arounded end and of a length and diameter permitting it to be insertedthrough the urethra and into the neck of the bladder, and a combinedhand hold and depth gauge of rigid construction adjustably andconcentrically mounted on said member and of a length and diameter tocomfortably receive the male organ when said smooth member is insertedtherein.

3. A combined dilating and massaging device of the class describedcomprising a straight, round, smooth and inflexible member having arounded end and of a length and size permitting it to be insertedthrough the urethra and into the neck of the bladder, and a combineddepth gauge and hand hold adjustably mounted on said member andcomprising a rigid cylindrical element having a closed end slidablymounted on said member and an open end directed toward the rounded endof said member, said element being of a size to comfortably receive themale organ.

4. A combined dilating and massaging device of the class describedcomprising a straight, round, smooth member having a rounded end, and ofa length and size permitting it to be inserted through the urethra andinto the neck of the bladder, a combined depth gauge and hand hold ofrigid construction adjustably mounted on said member and comprising anenlarged cylindrical element provided at one end with a screwthreadedhub receiving said member, said hub being tapered and slotted andprovided with a nut to permit the hub to be clamped in any desiredposition on said member, and the cylindrical element having an open enddirected toward the rounded end of said member for comfortably receivingthe organ in which said member is adapted to be inserted.

5. A combined dilating and massaging device comprising a centralinflexible member 01 a length and size permitting it to be insertedthrough the urethra and into the neck of the bladder, and a rigidcircular hand hold adjustably mounted thereon to concentrically surroundthe same and of a size to comfortably receive the male organ when saidmember is inserted therein.

THOMAS R. HAYTON.

